let me close with the words of poet kim staff ford from oregon who eloquently captures the opportunity and challenge and i think the responsibility what alies ahead of us. it's a true story. lloyd the international sister of portland spent the last days silent unable to lie or speak lying in a hospital bed. on the last day at home, his wife hurried to pack the suitcase for the hospital, lloyd wandered outside to the garden. she found him there on the needs planting -- flowers. lloyd you'll never see the flowers bloom. they're not for me, they're for you. they're for you. he calls for the wild geese, their for you. the last old trees, their for your and your children to the seventh generation and beyond. they're all blooms for you. that's our challenge. to create that clear vision where we need go to act and lead and reengage in the effort not as a victims of the past not as captives of the status quo. .. at at&t for health. dr. nayyar has a variety of business and clinical jobs in the health care world as she has a unique day. she brings the business side, communication side along with